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Central Venous Port Policy

  • 1.  Central Venous Port Policy

    Posted 17 days ago
    Does anyone have a policy for CV Ports, including accessing and maintenance?  We do have a procedure instructing on how to access, etc. but we do not have an actual policy at our hospital and I am looking for something to reference.

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    Heather Kinsey
    Chemotherapy Infusion RN
    Jefferson IA
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  • 2.  RE: Central Venous Port Policy

    Posted 16 days ago

    ​Hello,
    I'm currently leading a work group that is writing policies for a central line bundle. These are policies that haven't been approved/implemented yet. But have done the EBP review for.

    Hopefully it's helpful. FYI, we're a pediatric facility, so there may be some things that wouldn't apply to adults.
    We're still working on finalizing our de-clotting policy, or heparin flushing/locking policy, and haven't started the de-accessing policy yet.



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    Amanda Lulloff PhD RN PCNS CPHON
    Clinical Nurse Specialist
    Blank Children's Hospital
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  • 3.  RE: Central Venous Port Policy

    Posted 16 days ago
    This is helpful. Thank you for sharing!

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    Heather Kinsey
    Chemotherapy Infusion RN
    Jefferson IA
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  • 4.  RE: Central Venous Port Policy

    Posted 16 days ago
    Thank you for these port policy files. I have a question that has arisen in our staff discussions. When a port remains accessed for the 7 days per policy and the port access is used for drawing blood samples within that 7 day period, do you have to reaccess with a new needle after the blood draw if you flush post blood draw with 20 ml of NS per protocol?
    Deena Lonzo RN,BSN, OCN
    Sarasota, FL

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    Deena Lonzo BSN
    STAFF NURSE
    Venice FL
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  • 5.  RE: Central Venous Port Policy

    Posted 16 days ago

    Hello,

    I have never changed a port needle just because I have infused or drawn blood through it. (Some places I have been required to change the needleless connector, but not the needle.)

    I'm curious what the rationale would be for changing the needle after a blood draw? I haven't seen this as a recommendation in any of the the guidelines i've reviewed so far. (The INS warns against changing the needleless connctor too often. That changing the connector for too many reasons increases infection risk versus decreasing. I would assume it'd be similar for the needle, though it wasn't specifically mentioned.) 



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    Amanda Lulloff PhD RN PCNS CPHON
    Clinical Nurse Specialist
    Pleasant Hill IA
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  • 6.  RE: Central Venous Port Policy

    Posted 16 days ago
    Thank you for your response. I want our clinic to practice standards based on EBP and the differing opinions need to be supported with expert advice. I agree that multiple access increases the potential for infection and if the access needle is properly flushed post blood draw there isn't cause to reaccess with a new needle within the recommended 7 days of remaining accessed time period. I welcome expert advice with peer reviewed sources to support this.

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    Deena Lonzo BSN
    STAFF NURSE
    Venice FL
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